Skip to content
Nonprofiteer
← FAITH REGIONAL HEALTH SERVICES FOUNDATION

Form 990 for tax year 2022

Filed by FAITH REGIONAL HEALTH SERVICES FOUNDATION.

Totals

Total revenue
$1,920,681
Total expenses
$2,814,483
Contributions and grants received
$1,337,490
Grants paid
$2,767,691
Program service revenue
$0
Investment income
$606,585
Other revenue
-$23,394
Total assets, end of year
$15,030,127
Total liabilities, end of year
$89,628
Net assets or fund balances, end of year
$14,940,499
Program services expenses (Part IX)
$2,767,691
Management and general expenses
$16,105
Fundraising expenses
$30,687
Program service expenses (Part III)
$2,767,691

Program services were 98.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1c · Fundraising events

    $195,787

  • 1f · All other contributions, gifts and grants

    $1,141,703

  • 1g · Noncash contributions included above

    $46,895

  • 3 · Investment income

    total $606,585 · excluded $606,585

  • 8a · Fundraising events: gross income

    $58,444

  • 8a · Fundraising events: contributions included on line 1c

    $195,787

  • 8b · Fundraising events: direct expenses

    $81,838

  • 8c · Net income from fundraising events

    total -$23,394 · excluded -$23,394

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $2,767,691 · program services $2,767,691

  • 11a · Fees: management

    total $5,419 · management and general $5,419

  • 11c · Fees: accounting

    total $329 · management and general $329

  • 11f · Fees: investment management

    total $10,331 · management and general $10,331

  • 13 · Office expenses

    total $13,063 · fundraising $13,063

  • 24a · Other expenses: MISCELLANEOUS FUNDRAISI

    total $17,624 · fundraising $17,624

  • 24b · Other expenses: OTHER TAXES

    total $26 · management and general $26

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $4,716 · end of year $2,511

  • 2 · Savings and temporary cash investments

    beginning of year $3,596,885 · end of year $2,044,555

  • 3 · Pledges and grants receivable

    beginning of year $106,650 · end of year $103,350

  • 11 · Investments: publicly traded securities

    beginning of year $14,012,797 · end of year $12,855,614

  • 15 · Other assets

    beginning of year $640 · end of year $24,097

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,555 · end of year $644

  • 25 · Other liabilities

    beginning of year $98,579 · end of year $88,984

  • 27 · Net assets without donor restrictions

    beginning of year $1,582,485 · end of year $598,087

  • 28 · Net assets with donor restrictions

    beginning of year $16,036,069 · end of year $14,342,412

Mission and programs · 2022

Mission

TO AID FAITH REGIONAL HEALTH SERVICES (FRHS) BY THE SOLICITATION OF GIFTS, GRANTS, DEVICES AND BEQUESTS EXCLUSIVELY FOR THE USE AND BENEFITS OF FRHS OR ITS PROGRAMS AND SERVICES.

Activities or mission (Part I)

TO AID FAITH REGIONAL HEALTH SERVICES BY THE SOLICITATION OF GIFTS, GRANTS, DEVICES AND BEQUESTS.

  • TO AID FAITH REGIONAL HEALTH SERVICES (FRHS) BY THE SOLICITATION OF GIFTS, GRANTS, DEVICES AND BEQUESTS EXCLUSIVELY FOR THE USE AND BENEFIT OF FRHS OR ITS PROGRAMS AND SERVICES. FRHS PROVIDES ACUTE, PREVENTATIVE AND OTHER HEALTHCARE SERVICES TO THE REGION WHILE ENCOURAGING EDUCATIONAL AND CLINICAL RESEARCH. FRHS SERVES ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND DOES NOT LIMIT ITS SERVICES OR DISCRIMINATE AGAINST ANYONE ON THE BASIS OF RACE, SEX, NATIONAL ORIGIN, RELIGION OR DIAGNOSIS.

    Expenses $2,767,691 · Grants $2,767,691

As filed on the 2022 return.

Listed in Part VII

  • Tristan Hartzell MD

    MEMBER

    Total calculated
    $3,682,156
    From this org
    $0
    From related orgs
    $3,680,758
    Other
    $1,398
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,153,937 related
    Bonus
    $0 + $2,526,281 related
    Other
    $0 + $540 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $1,398 related
    Filer's total
    $0 + $3,682,156 related

  • Kelly Driscoll

    CEO

    Total calculated
    $807,554
    From this org
    $0
    From related orgs
    $758,697
    Other
    $48,857
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $685,108 related
    Bonus
    $0 + $60,829 related
    Other
    $0 + $12,760 related
    Deferred
    $0 + $12,200 related
    Nontaxable benefits
    $0 + $36,657 related
    Filer's total
    $0 + $807,554 related

  • Janna Cline

    VP FINANCE

    Total calculated
    $268,547
    From this org
    $0
    From related orgs
    $238,398
    Other
    $30,149
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $237,122 related
    Bonus
    $0 + $500 related
    Other
    $0 + $776 related
    Deferred
    $0 + $7,277 related
    Nontaxable benefits
    $0 + $22,872 related
    Filer's total
    $0 + $268,547 related

  • Rachel Reiser

    FOUNDATION DIRECTOR

    Total calculated
    $116,428
    From this org
    $0
    From related orgs
    $85,629
    Other
    $30,799
    Hours/week
    20 + 20 related

  • Jan Einspahr

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • Jared Jansen

    PRESIDENT-ELECT

    Total calculated
    $0
    Hours/week
    1

  • Adam Olson

    VICE-PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • Jacque Collison

    PAST PRESIDENT

    Total calculated
    $0
    Hours/week
    1 + 3.5 related

  • Tim Tighe

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Brandon Doke

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Todd Wragge DDS

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Alan Collison

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Pat Delay

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Virgil Froehlich

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Rick Higgins

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Patrick Hughes

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Gordon Adams MD

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Tom Schueth

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Harriet Studebaker

    MEMBER THRU 2/2022

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
FAITH REGIONAL HEALTH SERVICES FOUNDATION DOES NOT COMPENSATE ANY OFFICERS, DIRECTORS, OR KEY EMPLOYEES. THE COMPENSATION LISTED IN SCHEDULE J IS PAID BY FAITH REGIONAL HEALTH SERVICES (FRHS), A RELATED ENTITY. THEIR COMPENSATION IS DETERMINED BY GATHERING DATA FROM EXTERNAL SURVEYS AND FORM 990 DATA PROVIDED BY COMPARABLE FACILITIES. FACILITIES USED ARE SIMILAR IN SIZE OF HOSPITAL, REVENUE, AND NUMBER OF FTES. WAGES ARE GATHERED AND COMPARED BY TITLE, RESPONSIBILITIES AND YEARS OF EXPERIENCE. THE SALARY RECOMMENDATIONS ARE MADE BY THE FRHS HUMAN RESOURCES DEPARTMENT. THE FRHS GOVERNING BOARD APPROVES THE SALARY RECOMMENDATIONS FOR THE CEO; THE CEO APPROVES THE RECOMMENDATIONS FOR THE OTHER OFFICERS AND VICE-PRESIDENTS; AND THE VICE-PRESIDENTS APPROVE THE RECOMMENDATIONS FOR THE DIRECTORS OF VARIOUS HOSPITAL DEPARTMENTS.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

  • FAITH REGIONAL HEALTH SERVICES

    501(C)(3) · PROVIDE HEALTHCARE SERVICES TO THE NORTHEAST NEBRASKA REGION · NE

    Directly controlled by LUTHERAN COMMUNITY HOSPITAL ASSOCIATION

  • LUTHERAN COMMUNITY HOSPITAL ASSOCIATION

    501(C)(3) · SUPPORT FAITH REGIONAL HEALTH SERVICES · NE

Provenance

Return type
form_990
Tax year
2022
Filed
6 November 2023
IRS schema version
2022v5.0
Source object
202323109349302007

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.